Advanced Medical Group Llc

LBN: Advanced Medical Group Llc
Advanced Medical Group Llc is an health care organization with primary practice located at 2820 Augusta Rd , Langley SC 29834. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advanced Medical Group Llc can be contacted via phone (803) 593-3411, or through Wall, Vance via phone (678) 689-2388.

Contact Information

Primary practice address
2820 Augusta Rd Langley SC 29834
Phone: (803) 593-3411
Fax: (803) 593-6090
Website:
Map and Directions
Authorized official contact:
Name: Wall, Vance RPH
Phone: (678) 689-2388

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 9181 South Carolina
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1659346542
LBN Legal business name Advanced Medical Group Llc
DBA Doing business as
Authorized official Wall, Vance RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 11th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659346542 NPPES
South Carolina MEDICAID 7-9181-7
South Carolina Other 2089399

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